Whalio Doctors

NPI 1285990002

Peterson Counseling and Supervision, LLC

Organisation Community/Behavioral Health Agency Eagan, MN

Practice location

Address
1585 Thomas Center Dr 104, Eagan, MN 55122-3007
Phone
(952) 808-6848

Authorised official

Name
Jessica Ann Peterson
Title
Partner
Phone
(952) 808-6848

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 20365 (MN)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 20366 (MN)

Registry record

NPI
1285990002
Entity type
Organization
NPI issued
5 Apr 2012
Record last updated
13 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.